Develop the province/citywide Health Care Provider Network (HCPN

GOALS, OBJECTIVES, STRATEGIES: UPDATED PHILSTEP1 2020–2023

Described below are the statement of goals, objectives and strategies of the updated PhilSTEP1. The goals are expressed as a vision by 2023, while the objectives will be measured as cumulative accomplishments for four years, 2020–2023. Annex 2 provides an explanation of the process for estimating the updated PhilSTEP1 targets.

GOALS Reduce the TB burden by: ➢ Decreasing the number of TB deaths by 15% from 26 000 to 22 000 ➢ Decreasing the TB incidence rate by 12% from 554 to 488 per 100 000 Reduce catastrophic costs incurred by TB-affected households from 35% to 0% At least 90% of patients are satisfied with TB services OBJECTIVES 1. Screen at least 50 million people for TB using chest X-ray (and 100 million by symptoms) 2. Test at least 12.8 million presumptive TB cases with a bacteriologic test 3. Initiate TB treatment for at least 1.9 million with active TB, including 43 000 DR-TB. 4. Successfully treat 90% of DS-TB patients and 85% of DR-TB patients 5. Give TB preventive treatment to at least 685 000 patients

STRATEGIES SCREENING

1. Intensified case finding (ICF) 2. Active case finding (ACF) 3. Enhanced case finding (ECF) 4. Contact investigation

TESTING AND DIAGNOSIS

5. Push compliance to mandatory notification 6. Rapid diagnostic test (RDT) expansion and utilization 7. Line probe assay/drug susceptibility test (LPA/DST) optimization 8. Improve quality of clinical diagnosis

TREATMENT

9. Establishment of a Health Care Provider Network (HCPN) offering a full TB care continuum 10. Adoption of patient-centered care 11. Strengthen active Drug Safety Monitoring and Management (aDSM) 12. TB–HIV collaborationn

PREVENTION

13. Adoption of short tuberculosis preventive treatment (TPT) 14. Infection prevention and control (IPC)